Why it’s done
Risks associated with a tubal ligation reversal include:
• An inability to get pregnant after the procedure. Pregnancy rates following reversal of tubal ligation vary greatly depending on your age and other factors.
• Scarring of the fallopian tubes.
• Injury to nearby organs.
• Anaesthesia complications.
• Ectopic pregnancy — when the fertilized egg implants outside the uterus, usually in a fallopian tube.
How you prepare
Before you have a tubal ligation reversal, your doctor will likely:
• Explain the details of the procedure
• Discuss the likelihood of success and your ability to get pregnant after the procedure
• Discuss other options for pregnancy, such as in vitro fertilization (IVF)
What you can expect
A tubal ligation reversal can be done as an inpatient or outpatient procedure.
During the procedure
During a tubal ligation reversal, your doctor may use robotic or laparoscopic surgical equipment — small tubes attached to tiny cameras and surgical instruments — to make a tiny incision on your abdomen, and reattach your fallopian tubes.
Alternatively, your doctor may make a small incision in your abdomen (minilaparotomy) and expose your uterus, fallopian tubes and ovaries. The doctor will then:
• Remove blocked fragments of the fallopian tube
• Attempt to repair the tube with tiny absorbable stitches
Your doctor may not be able to reattach one or both of your fallopian tubes if too much was removed during the tubal ligation.
After the procedure
You can slowly resume your normal activities as you begin to feel better, which usually takes one or two weeks. Your stitches will dissolve and won’t require removal.
Ask your doctor when to make a follow-up appointment so you can be sure you’re healing properly.